St Marys Hospital of St Marys County Inc

Nonprofit profile at a glance

EIN
520619006
IRS 990 coverage
2009–2024
Forms available
Form 990 2024
Location
Leonardtown, MD, USA
Phone
3014756003
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$241,796,122
Expenses
$205,722,609
Assets
$163,319,949
Liabilities
$19,879,322

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

27 people listed

Executive titles in this filing

  • MIMI NOVELLO MD (PRESIDENT/DIRECTOR)

Highest reported compensation

  • KENNETH A SAMET (DIRECTOR): $6,562,774 total reported compensation
  • STEPHEN MICHAELS MD (FORMER OFFICER): $1,156,886 total reported compensation
  • MIMI NOVELLO MD (PRESIDENT/DIRECTOR): $1,086,033 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

See schedule oas a proud member of medstar health, medstar st. Mary's hospital's (medstar st. Mary's) mission is to uphold its tradition of caring by continuously promoting, maintaining, and improving health through education and service while assuring quality care, patient safety and fiscal integrity. Medstar st. Mary's is located in leonardtown, Maryland, in the southern region.in fiscal year 2025, msmh had 6,581 inpatient admissions and 111,618 outpatient visits including 43,255 emergency visits.

What it reported doing in 2024

See schedule omedstar st. Mary's hospital's largest program is access to and the provision of acute hospital services for communities of st. Mary's county, Maryland and the surrounding areas. In addition to the program service expenses listed above, medstar st. Mary's incurred $51.4m of management and general expenses in providing services to its communities. Medstar st. Mary's provides general, acute care services in medicine, surgery, obstetrics and gynecology, oncology, orthopaedics, pulmonary and cardiac rehabilitation, and psychiatry. It also provides emergency department care. Also included in our range of services is hospice care and a joint venture that provides home care services with 2 other local hospitals in adjacent counties. An outpatient pavilion includes cancer care and infusion services, imaging, and women's health services, community outreach and physician office space. Services also include a center for wound healing.medstar st. Mary's hosptial is accredited by the joint commission and is a Maryland institute for emergency medical services systems (miemss) accredited primary stroke center. Medstar st. Mary's hospital was awarded the american heart association get with the guidelines stroke silver plus with target: stroke honor roll elite and target: type 2 diabetes honor roll recognition. In july 2025, medstar st. Mary's hospital worked with the st. Mary's county commissioner's office to have st. Mary's county proclaimed a stroke smart county. Medstar st. Mary's hospital's population and community health team provides stroke smart education and endeavors to partner with community stakeholders to educate st. Mary's county residents to "spot a stroke", "stop a stroke", "save a life". It has a cancer center that has commission on cancer certification, and is a magnet facility. Medstar st. Mary's hospital is also accredited by the metabolic and bariatric surgery accreditation and quality improvement program (mbsaqip).

Operating model

Revenue model
Earned-program. 97% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - The filed numbers largely add up and a large share of available resources goes toward mission work. A relatively small share of voting board members are independent and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 61
  • Transparency & Controls: 97
  • Accountability: 74
  • Sustainability: 61
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 63.8%; rating input score 64
  • Program expense ratio: 75%; rating input score 75
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
  • Pay-setting controls: 6 of 6 controls in place; rating input score 100
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 56.2%; rating input score 56; 15th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 14.9%; rating input score 82; 82nd percentile among comparable filings
  • Total-asset coverage ratio: 0.79; rating input score 31; 31st percentile among comparable filings
  • Liabilities to assets ratio: 0.12; rating input score 79; 79th percentile among comparable filings
  • Officer compensation ratio: 3%; rating input score 37; 37th percentile among comparable filings

Growth

  • Program expense growth: 2.7% per year; rating input score 100; 20th percentile among comparable filings
  • Revenue growth: 4.2% per year; rating input score 100; 34th percentile among comparable filings
  • Asset growth: -0.2% per year; rating input score 0; 7th percentile among comparable filings

Details

  • Where the money goes: 63.8% of revenue deployed · 75% of spending went to programs
  • Governance: 9 of 16 board members independent · 9 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $154.3M in reported program spending
  • Leadership: top reported pay $6.6M · 27 people listed · 6 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.8M reported
  • Consistency: 34 of 35 current checks pass · 1 finding to review
  • Schedules: 12 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 13 filed money-flow records
  • Related organizations: 64 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Independent voting board scored 56/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 31/100.
  • High — Growth: Asset growth scored 0/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Moderate — Sustainability: Officer compensation ratio scored 37/100.